NURS 304 Exam 2 – Questions With Solutions
(100% Accurate)
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Terms in this set (112)
What is the purpose of external fetal To monitor fetal heart rate (FHR) during pregnancy
monitoring? and labor, allowing for mobility and non-invasive
tracking.
What are indications for using internal Indications include mispresentation of the fetus,
fetal monitoring? inconsistent external heart rate readings, high-risk
labors, and complications.
What do early decelerations in fetal They are related to head compression and are
heart rate indicate? considered normal as the fetus descends into the
pelvis.
What interventions are needed for Cervical check for prolapsed cord, repositioning,
variable decelerations? oxygen administration, and documentation.
What do late decelerations indicate They indicate uteroplacental insufficiency; position
and what should be done? the patient left lateral, apply oxygen, stop oxytocin if
applicable, and notify the provider.
When do early, variable, and late with contractions (peak of contractions and trough of
decels happen? FHR line up). variable happen whenever, late decals
"mirror" contractions.
What are the phases of the first stage Latent (0-3 cm), Active (4-7 cm), and Transition (8-10
of labor? cm) phases.
What is the duration and 0-3 cm dilated. Lasts 6-8 hours with contractions
characteristics of the latent phase of every 5 to 30 minutes, lasting 30-45 seconds; the
labor? mother is excited and talkative.
, What occurs during the active phase 4-7cm dilated. Lasts 3-6 hours with contractions
of labor? every 3 to 5 minutes, lasting 45-70 seconds; the
mother experiences more serious pain.
What happens during the transition 8-10cm dilated. contractions every 2-3 mins, lasting
phase of the first stage of labor? 45-90 seconds, severe pain and loss of control.
irritable. stage lasts 20-40 mins.
what happens during 2nd stage of complete dilation to birth of baby. can last 1-2 hours.
labor? latent into descent with the urge to bear down and
birth baby. interventions include: position changes,
meds, pain management, I&Os, and prep for
newborn stabilization
What happens during the third stage birth of the baby to birth of placenta, takes less than
of labor? 30 mins. give oxytocin as prescribed
What happens during the fourth stage from placental delivery to 1-4 hours post delivery
of labor? (stabilization of maternal VS).
What are the signs of placental Changes in the shape of the uterus, lengthening of
separation in the third stage of labor? the umbilical cord, and a gush of dark blood and
vaginal fluid.
What is an amniotomy and what are its Artificial rupture of membranes using a hook-like
risks? tool; risks include infection. ensure fetal head is
engaged in pelvis
What is amnioinfusion and when is it Instillation of normal saline or lactated ringers into
indicated? the amniotic cavity to reduce variable decelerations
caused by cord compression.
What are the 7 cardinal movements of Engagement(presenting part into pelvis),
labor? Descent(head descends down), Flexion(head flexes
to chest as they descend), Internal rotation(fetus
internally rotates face down in the pelvis),
Extension(fetus extends head/head is born), External
rotation(fetus rotates to led shoulders out), and
Expulsion.
(100% Accurate)
Save
Terms in this set (112)
What is the purpose of external fetal To monitor fetal heart rate (FHR) during pregnancy
monitoring? and labor, allowing for mobility and non-invasive
tracking.
What are indications for using internal Indications include mispresentation of the fetus,
fetal monitoring? inconsistent external heart rate readings, high-risk
labors, and complications.
What do early decelerations in fetal They are related to head compression and are
heart rate indicate? considered normal as the fetus descends into the
pelvis.
What interventions are needed for Cervical check for prolapsed cord, repositioning,
variable decelerations? oxygen administration, and documentation.
What do late decelerations indicate They indicate uteroplacental insufficiency; position
and what should be done? the patient left lateral, apply oxygen, stop oxytocin if
applicable, and notify the provider.
When do early, variable, and late with contractions (peak of contractions and trough of
decels happen? FHR line up). variable happen whenever, late decals
"mirror" contractions.
What are the phases of the first stage Latent (0-3 cm), Active (4-7 cm), and Transition (8-10
of labor? cm) phases.
What is the duration and 0-3 cm dilated. Lasts 6-8 hours with contractions
characteristics of the latent phase of every 5 to 30 minutes, lasting 30-45 seconds; the
labor? mother is excited and talkative.
, What occurs during the active phase 4-7cm dilated. Lasts 3-6 hours with contractions
of labor? every 3 to 5 minutes, lasting 45-70 seconds; the
mother experiences more serious pain.
What happens during the transition 8-10cm dilated. contractions every 2-3 mins, lasting
phase of the first stage of labor? 45-90 seconds, severe pain and loss of control.
irritable. stage lasts 20-40 mins.
what happens during 2nd stage of complete dilation to birth of baby. can last 1-2 hours.
labor? latent into descent with the urge to bear down and
birth baby. interventions include: position changes,
meds, pain management, I&Os, and prep for
newborn stabilization
What happens during the third stage birth of the baby to birth of placenta, takes less than
of labor? 30 mins. give oxytocin as prescribed
What happens during the fourth stage from placental delivery to 1-4 hours post delivery
of labor? (stabilization of maternal VS).
What are the signs of placental Changes in the shape of the uterus, lengthening of
separation in the third stage of labor? the umbilical cord, and a gush of dark blood and
vaginal fluid.
What is an amniotomy and what are its Artificial rupture of membranes using a hook-like
risks? tool; risks include infection. ensure fetal head is
engaged in pelvis
What is amnioinfusion and when is it Instillation of normal saline or lactated ringers into
indicated? the amniotic cavity to reduce variable decelerations
caused by cord compression.
What are the 7 cardinal movements of Engagement(presenting part into pelvis),
labor? Descent(head descends down), Flexion(head flexes
to chest as they descend), Internal rotation(fetus
internally rotates face down in the pelvis),
Extension(fetus extends head/head is born), External
rotation(fetus rotates to led shoulders out), and
Expulsion.
